Interoperability Standards for Medical Simulation Systems

The Modeling and Simulation Community successfully developed and applied interoperability standards like the Distributed Interactive Simulation (DIS) protocol (IEEE 1278) and the High Level Architecture (HLA) (IEEE 1516). These standards were applied for world-wide distributed simulation events for several years. However, this paper shows that some of the assumptions and constraints underlying the philosophy of these current standards are not valid for Medical Simulation Systems. This paper describes the standards, the philosophy and the limits for medical applications and recommends necessary extensions of the standards to support medical simulation.